NPI | 1386682011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 13175) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD202917) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2020-04-08 |